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�Y <br /> 1 FIELD SERVICES 1 O & M REQUEST <br /> OR TION FORM �` '` <br /> ITE INF MA <br /> IFIdentification Project Type Client Don Rodgers <br /> ' Project# 880-039 1A ❑ 1st Time Visit Client P O C Don Rodgers <br /> Task# 03030000 ❑ Quarterly Date of Request <br /> Site Address 515 W_ CharterWa ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Ideal Field Date(S) <br /> Stoc$don, CA ❑ Monthly Laboratory Sequoia Analytical <br /> Station I.D# N/A ❑ Semi-Monthly Mileage <br /> County, San Joaquin ® Weekly Budget Hours <br /> Project Manager Tim Anenson ❑ One Time Event Actual Hours <br /> Requestor Kathleen Waldo ❑ Other Mob/Demob <br /> Field Tasks: For General Description <br /> ➢ Site requires weekly visits <br /> 9 Sample sstem Infl/Effl once a month and submit for GAS/BTEX analysis normal TAT <br /> Perform routine maintenance <br /> Complete attached data sheets <br /> V—>, Optimize system performance based upon FID concentrations <br /> Sample sstem once a month and submit for GAS/BTEX analysis normal TAT <br /> Notify engineer of any problems <br /> 1 <br /> jComments_remarks, etc from Field Staff (include problems encountered and out-of-scope work) <br /> ❑ Samples takenS9S <br /> amples not required oil vapor E] Groundwater El Air Sparge <br /> P-IlUeekly ❑ Semi-Monthly ❑ Monthly ❑ Quarterly ❑ Semi-Annual <br /> IT CorAoration <br /> Completed by �J f '�`� Date <br /> i - <br />